Med-Peds Residency Training

1. Med-PedsResidency Training

3. UK MedPeds is GREAT!!!

4. Goal of Training Prepare residents to be knowledgeable and compassionate physicians in their future practice: • Adult and pediatric primary care • Adult/pediatric subspecialty care • Academic medicine

5. Faculty and Leadership

6. Med-Peds Residency Program • Curtis Cary, MD, FAAP, FACP • MedPeds Program Director • MedPeds Group Continuity Clinic Director • John Stewart, MD • MedPeds Associate Program Director • Polk Dalton Continuity Clinic Director • Chris Feddock, MD, FAAP, FACP • MedPeds Associate Program Director • Assistant Dean of Curriculum • Former MedPeds PD for 5 years

7. Med-Peds Chief Residents Amanda Foxx, MD Justin Purdy, MD

8. Internal Medicine Leadership • Chairman: David Moliterno, MD • Program Director: Kristy Deep, MD, MA • Associate Program Directors: • Jackie Gibson, MD • Laura Fanucchi, MD, MPH • John Ragsdale, MD, MS (MedPeds Trained) • VA Educational Site Director: Sean Lockwood, MD • Education Specialist: Rachelle Aker

9. Pediatrics Leadership • Chairman: Carmel Wallace, MD • Program Director: Jenna Ross, MD (MedPeds Trained) • Associate Program Director: Lindsey Ragsdale, MD • Program Coordinator: Michael Fralix • Residency Staff Support: Jim Duncan

10. Med-Peds Continuity Clinic Attendings • Curtis Cary, MD • Pediatric Wards • Polk Dalton Clinic • HIV Medicine • HIV Education • Children’s Twilight Clinic • John Stewart, MD • Polk Dalton Clinic • Chris Feddock, MD • Salvation Army Clinic • Chipper Griffith, MD, MSPH • Salvation Army Clinic

11. Med-Peds Hospitalist Faculty Internal Medicine Services Pediatrics Service Kentucky Children’s Hospital Curtis Cary, MD T. J. Lile, MD Alan Hall, MD • Chandler Hospitalists • Paula Bailey, MD • T.J. Lile, MD • John Ragsdale, MD, MS • John Romond, MD • Alan Hall, MD • Good Samaritan Hospitalists • Zack Roy, MD • John Romond, MD • VA Hospitalists • Mary Duke, MD • Mike McCoy, MD

12. Med-Peds Subspecialty Faculty • Mike Anstead, MD • Adult and Pediatric Pulmonary • Hubie Ballard, MD • Neonatology • Deb Flomenhoft, MD • Adult Gastroenterology • Brian Murphy, MD • Adult and Pediatric Infectious Diseases • Donna Stanton, MD • General Pediatrics • Michael Young, MD • Adult Infectious Disease • Jenna Ross • General Pediatrics • Jackson Smith, MD • Adult and Pediatric Endocrinology • Doug Schneider, MD • Pediatric Cardiology • Joe Auer, MD • Adult Gastroenterology • Nicole Leedy, MD • Adult Infectious Diseases • Scottie Day, MD • PICU

13. Community Med-Peds Faculty • Fayette County • Amanda Smith, MD • Clark County • Larry Ertel, MD • Harrison & Nicholas County • Stephen Besson, MD • Andy Usery, MD • Scott County • Andrew Balbaugh, MD • Joel Knight, MD • Erin Johnson, MD

14. Med-Peds in Leadership Positions • Mary Duke, MD • Med-Peds Program Directors Association, President, 1997 • UK Med-Peds Program Director 1995-2005 • Lexington VAMC Chief of Medicine • Former ACP Governor • Christopher Feddock, MD, MS • Med-Peds Program Director 2005 - 2010 • Assistant Dean for Curriculum • Chipper Griffith, MD, MSPH • Senior Associate Dean for Medical Education • Angela Dearinger, MD, MPH • Lexington VAMC Associate Chief of Staff for Education

15. Categorical Programs

16. Internal Medicine & Pediatrics Housestaff

17. Med-Peds as Categorical Chief Residents • 2010-2011 • John Stewart, MD, Internal Medicine • 2011-2012 • Catherine Habashy, MD, Internal Medicine • Martin Rains, MD, Internal Medicine • 2012-2013 • Amanda Smith, MD, Internal Medicine • Mark Wurth, MD, Pediatrics • 2013-2014 • Priya Veeraraghavan, MD, Pediatrics

18. Future Med-Peds Categorical Chief Residents • 2014-2015 • Kelli Trent, MD, Pediatrics • 2015-2016 • Carrie Gaby, MD, Pediatrics

19. Curriculum

20. Residency at a Glance

21. Intern Level Curriculum

22. Junior Level Curriculum

23. Senior Level Curriculum

24. Pediatrics “Tracks”

25. Med-Peds Rotations • Emergency Department (intern) • Ambulatory Med-Peds Elective • Primary Care clinics • Geriatrics Experiences • Surgical and Allied Health Experiences • Billing and Coding Experiences • Community Med-Peds • Clinical experience with a combined practice • Elective • Clinical or Non-clinical

26. Facilities

27. Facilities • Lexington VA Medical Center • Chandler Medical Center • Good Samaritan Medical Center • Kentucky Children’s Hospital • Kentucky Clinic • Polk Dalton Clinic • University Health Services Building

28. The New UK Healthcare Chandler Medical Center

29. Kentucky Clinic and UHS

30. Polk Dalton Clinic

31. VA Complex Markey Cancer Center Old Chandler Medical Center Children’s Hospital Gill Heart Center New Chandler Medical Center Allied Health Building You Started Here This AM

32. Pediatrics

33. Pediatric Inpatient Teams • General Pediatrics Ward Services (2 Resident Teams) • Staffed by Pediatric Hospitalists and Med-PedsAttendings • Two residents on each team • Two - Three interns on each team • Two 3rd year medical students on each team • Subspecialty Pediatrics Ward Services (1 Team) • Staffed by Pediatric Subspecialist Attendings • Endocrine, Pulmonology, Nephrology, Cardiology, Gastroenterology • Two – Three residents (upper level + interns) on the team • 56 Hospital Beds • Over 7,000 admissions per year

34. Pediatric Intensive Care Unit • 12 bed unit • Multidisciplinary care • Trauma – General Surgery, Neurosurgery, Orthopedics • Cardiac – Cardiology • All patients staffed by Pediatric Critical Care Team • 900 admissions average per year • Three - Four resident team • 1 week of night shifts per resident

35. Neonatal Intensive Care Unit • 60 bed acute and transitional care unit • 850 admissions average per year • Residents • One senior level resident • Two - Three junior level residents and/or interns

36. Specialized Pediatric Clinics • BMI and Healthy Weight Clinic • International Adoption Clinic • Cystic Fibrosis Center • Sleep Clinic • Twilight Children’s Clinic • HIV Clinic • Baby Health • Diagnostic Clinic • Dermatology Clinic • Survivors of Childhood Cancer Clinic • Young Parents’ Program • ADHD Clinic • NICU Graduate Clinic • GI Young Adult Clinic • Mommy and Me Clinic • Lipid Clinic • Family Care Center

37. Internal Medicine

38. Internal Medicine Wards • Chandler Medical Center • 3 Resident Teams • Good Samaritan Hospital • 2 Resident Teams • 3 Academic Hospitalist Teams • 1 Private Hospitalist Team • VA Medical Center • 3 Resident Teams • 2 Hospitalist Teams

39. Diversity of Experience • Chandler Medical Center • Tertiary and Quaternary Care Hospital • Active Transplant Program • Top 25% of hospitals by patient complexity • Good Samaritan Hospital • Community-Based Primary Care • Referral Center for general & subspecialty medicine • VA Medical Center • Community-Based Primary Care

40. Chandler Medical Center

41. Good Samaritan Hospital

42. Good Samaritan Hospital • Hospitalist Rotation • Each team with 2 residents • 3rd year resident • 2nd year resident • Private Hospitalist Night Coverage • Residents rotate “late shift” • Work until 8pm every 4th night

43. Lexington VA Medical Center

44. VA Medical Center • Resident Team • 1 upper-level resident • 2 interns • Team Cap ~ 14 patients • Interns rotate night float call schedule: every 6th night • Resident night float to supervise admissions

45. Chandler MICU • Two Resident Teams • Each led by attending and fellow • Resident structure depends on time of year • 3-4 residents per team w/ 1-2 residents on night float • Attending coverage 24/7

46. Residents as Teachers

47. Med-Peds Housestaff Teaching Awards • Clark Sleeth – Best Intern Teacher (2013) • Carrie Gaby – Internal Medicine (2013) • John Romond – Pediatrics (2012) • Kelli Trent – Pediatrics (2012) • Carrie Gaby – Internal Medicine (2012) • Martin Rains – Best Resident Teacher (2011) • Joseph Brown – Best Intern Teacher (2011) • John Romond – Internal Medicine (2011) • Catherine Habashy – Pediatrics (2011) • Julie Griffin – Pediatrics (2010) • Catherine Habashy – Pediatrics (2009)

48. UK Healthcare Resident of the Month • May 2014: Heather Relyea • November 2013: Justin Purdy • September 2013: Carrie Gaby • April 2013: Heidi Frazier • February 2013: Wendy Ballenger • November 2012: Erin Marcotsis • August 2012: Priya Veeraraghavan • June 2012: Candice Olechowski • January 2012: Matt Bacon • September 2011: Stephanie Misciasci • August 2011: Joseph Brown

49. Conferences and Independent Learning Activities

50. Curriculum Internal Medicine Pediatrics AAP PREP Curriculum Med-Peds Board Review Morning Report Noon Conference • Johns Hopkins Ambulatory Modules • Med-Peds Board Review • MKSAP • Morning Report • Noon Conference